A look into colostomy in pediatric patients presented to Al Ribat University Hospital December 2013-December 2014

Abstract

Background: Colostomy is a very common procedure in pediatric pts. It has a lot of indications and complications.

Objectives: 1) To observe the frequency of indications complications of colostomies between patients done in Al- Ribat university hospital and other patients done in other hospitals who presented there for definitive procedure. 2) To determine the final outcome of colostomy in pediatric patients. Materials and Methods: Observational prospective study, performed in patients presented to Al Ribat university hospital including patients admitted for colostomy or for final treatment in the period between December 2013 and December 2014.The stoma related complications were tested using Chi-square. The level of significance was taken as p<0.05. 

Results: There were 50 patients with the peak age group of 4 years (range: 10 days to 8 years). The male percentage was 70% and female 30%. The indications of colostomy were HSD 29 (58 %,) anorectal malformations 19 (38%), rectal injury 1 (2%) and anal malignancy 1 (2%).Complications occurred in 24 patients (48%) of the studied sample. The commonest complication was prolapse 7(29, 2%) followed by stenosis 5(20.8%). Complications were higher in patients operated as an elective cases in compare to emergency operations (51.8% vs. 43,5), and patients operated by registrars in comparison to other surgical operating levels, and in transverse colostomy in comparison to sigmoid colostomy(57,1% vs 46,5%), and in loop colostomy in comparison to divided colostomy ( 51,2% vs 33,3%), but all these results were statistically not significant. One mortality case was reported during this study (2%).

Conclusion: Colostomy being a common procedure in pediatrics with high rates of serious complications deserves special attention for a better outcome.

Key words: colostomy, complications, Hirschsprungs disease, anorectal malformations